HomeMy WebLinkAboutX2019-1714 - PermitsAUDI
City of Newport Beach - Building Division IIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1714
100 Civic Center.Drive, Newport Beach, CA 92660 X 2 0 1 9 1 7 1 4Project No :1368-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)844-3255
Combination Type - MFP ELEC MECH PLUM GRAD Issued Date : 05/29/2019
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 20842ND ST N8
Description: MFR R&R ALL EXTERIOR FINISHES, DOORS.& WINDOWS, LIGHTING/ELECT THROUGHOUT BOTH UNITS, UPPER UNIT REMODEL (M.BATH, BTH 1, BR2, LIVING & KITCHEN),
Legal Desc.: CANAL SECTION BLK 141 LOTS
Owner: VICKERS WILLIAM JR. IN Contractor: OWNER/BLDR Architect: GREGG KEARY NORMAN
Address: 3412 SEASHORE DR Address: VICKERS WILLIAM JR. W Address: - 23541 LOCHLOMOND ST C
NEWPORT BEACH, CA 92663
Phone: 949.887-5900
Applicant: VICKERS WILLIAM JR. W
Address:. 3412 SEASHORE DR
NEWPORT BEACH, CA 92663
Phone: 949-887-5900
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $2,068.00
Plan Check Fee: $1,799.16
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$38.00
Energy Compliance:
$175.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat'"
$0.00
Building Green Fee :
$10.00
TOTAL FEE: $6,035.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone
Con State Lic: CIE
Lic Expire:
Bus Lic
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 10'
Left: 3'
Right: 3'
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
$0.00
$144.76
$82.72
$186.12
LAGUNA NIGUEL CA 92677 ®ri
Phone:
949-249-8234 State Lic:C012866
Engineer:
AHMADI MANSOUR
Address:
322Cry' n ° ed SE
In -lieu Housing Fee
9� IN
Phone:
949-715--9990 State Lic:C-076370 • • m °
® ° m mmonmc
Designer:
PAN Plan Check:
Address:
WEEKEND.
Phone:
ON THE
m
$0.00
$197.00
Special Conditions:
LIQUEFACTION AREA ° ° ®� m o ' • ° ° °
0
$564.00
OWNER/BLDR ATTACHED m ° • o u 0
Grading Bond:
NOISE FORM RECEIVED
000000 ° ° o
0 Fire Hazard Zone : N
OOp°
$0.00
Planning Department -
Plan check Fee
Fire Department
Fair Share;
$40.00
SJH Trans
$0.00
In -lieu Housing Fee
Fire Plan Rev
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$82:50
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $2,418.16 Fee Due at Permit Issuance: $3,617.10
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: _.
APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $2,418.16 Fee Due at Permit Issuance: $3,617.10
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: _.
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
1 ved for the purpose of sale).
�.111.
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
a Wen owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secty''' n 7044 of the Business and
Professions Code, is available upon requesn this applicat))'on is s�lpr�itt r at the following Web site:http://www.leginfo.ca.gov/calaw.html. _{ y ;Y
Signature of Property Owner or Authorized nt t^1— W e J — 2
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm M17der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine;s and Professions Code, and my license is in full force
and effect. Llpar�se Class License No D Contrac Signature
VPAKERS' COMQENSATION DECLARATION
•
WARNING: FAILURE FO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OSi OF COMPEN544TION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm u nderyenalty of perjury one of the following declarations:
I18Vve an8•wIM maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
`erformance of the work for which this permit is issued. Policy No.
e and!will Maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
in Snce carrierand policy number are:
Policy Number
Date
ne Sf Agent • Phone #
I..
cgrt'ify that.AlNe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
�igI should
bttdrfle subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature a tolicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby,affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above 'dnt' '
ead property for inspection purposes. ,
nature of Pronertv Owner or Authorized 4Dent eA/ver.- IA --,17 Print Property Owner's or Authorized Agent's t ie 111hu.-1P;
Civil Code).
0
ACTION
DATE
"f BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EXTENDED
qMD
PERMIT FINAL
—G -W
SBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
PROPOSEDD LITION
OCCUPANCYISSUED
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